Active NPI
JD Reed Jr., COUNSELOR
- Addiction (Substance Use Disorder) Counselor
- Compton, CA
National Provider Identifier
1386862589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 190466AN
- Practice address
- 544 W Rosecrans Ave
Compton, CA 90222-3944 - Phone
- (310) 639-0107
- Fax
- (310) 639-0119
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 190466AN | CA | Primary |
Addresses
Primary practice location
544 W Rosecrans Ave
Compton, CA 90222-3944
Mailing address
220 E Bennett St Apt 17
P.O. Box 4023
Compton, CA 90220-4939
Phone (310) 594-4823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190466AN | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terecor Foundation Corporation | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Compton, CA
- NPI 1700900594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386862589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 E BENNETT ST APT 17",
"address_2": "P.O. BOX 4023",
"city": "COMPTON",
"state": "CA",
"postal_code": "902204939",
"telephone_number": "310-594-4823",
"fax_number": "310-639-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 W ROSECRANS AVE",
"city": "COMPTON",
"state": "CA",
"postal_code": "902223944",
"telephone_number": "310-639-0107",
"fax_number": "310-639-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "JD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "COUNSELOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "190466AN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Compton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.